NPI | 1043563331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00001583) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2009025709) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2020-07-29 |