NPI | 1700136314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 20415) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 7893870) |
225X00000X Occupational Therapist (Licence: NY 024081) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2020-12-03 |