NPI | 1376895540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 17463) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA67664) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2016-01-05 |