NPI | 1336607654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00793700) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 021755) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2023-11-30 |