NPI | 1235526641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR01180600) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12196) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2024-05-07 |