NPI | 1104221498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5874) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017302) |
225X00000X Occupational Therapist (Licence: SC OT.5874) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2023-11-17 |