NPI | 1265670681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 6751) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 3456) |
Enumeration Date | 2009-01-22 |
Last Update Date | 2009-01-22 |