NPI | 1568629442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL ot11230) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT11230) |
252Y00000X Early Intervention Provider Agency (Licence: FL OT11230) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2018-03-21 |