NPI | 1629360615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 14658) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 14658) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2019-02-27 |