NPI | 1053084194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010163) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 3164) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2024-05-28 |