NPI | 1366790685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT22187) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT003584) |
225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT003584) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT22187) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-06-10 |