NPI | 1710006648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT002306) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT2306) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2011-08-29 |