NPI | 1871738070 |
---|---|
Former Name | MARY MARGARET TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 008651) |
Additional Taxonomies | 103T00000X Psychologist |
225X00000X Occupational Therapist (Licence: CT 002108) | |
Enumeration Date | 2008-12-03 |
Last Update Date | 2008-12-03 |