NPI | 1841406485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 0271) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP0834) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |