NPI | 1396003208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 63 015616) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63 015616) |
225X00000X Occupational Therapist (Licence: NJ 46TR00488800) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00488800) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-04-27 |