NPI | 1053654855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 6690) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 12627) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2021-02-25 |