NPI | 1417358318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 18840) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PR 1239) |
225XP0200X Occupational Therapist, Pediatrics (Licence: PR 1239) | |
Enumeration Date | 2014-09-10 |
Last Update Date | 2018-03-17 |