NPI | 1417172107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT13680) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: RI OT1138) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2011-01-04 |