NPI | 1376717074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015772) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003419) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2011-12-15 |