NPI | 1609910280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO MO2005013549) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: RI 000116) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-08-09 |