NPI | 1316213796 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: NY 55210) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |