NPI | 1902166283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00589200) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: DE U1-0001188) |
225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC011107) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2013-06-05 |