NPI | 1629380340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 003816-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04713000) |
225X00000X Occupational Therapist (Licence: FL OT 5124) | |
Enumeration Date | 2010-07-10 |
Last Update Date | 2010-07-10 |