NPI | 1710130869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 004989) |
Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: NY 004989) |
225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NY 004989) | |
Enumeration Date | 2008-11-01 |
Last Update Date | 2008-11-01 |