NPI | 1972830578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 015839) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015839) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2009-11-03 |