NPI | 1639487929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT23445) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10298) |
225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.009846) | |
Enumeration Date | 2010-09-20 |
Last Update Date | 2023-09-12 |