NPI | 1356682892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011077) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011077-1) |
Enumeration Date | 2013-03-08 |
Last Update Date | 2022-10-05 |