NPI | 1083183339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 12553) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 410518) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2022-09-22 |