NPI | 1417265380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT15512) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016359) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2024-04-01 |