NPI | 1518225846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 15898) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017376) | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2019-03-25 |