NPI | 1033787627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5662) |
Additional Taxonomies | 225XM0800X Occupational Therapist Mental Health (Licence: CT 5662) |
225XP0200X Occupational Therapist Pediatrics (Licence: CT 5662) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 5662) | |
Enumeration Date | 2021-06-11 |
Last Update Date | 2021-06-11 |