NPI | 1649515222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 01735) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT160) |
Enumeration Date | 2012-12-07 |
Last Update Date | 2016-04-26 |