NPI | 1972813699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056009199) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4924-026) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-22 |