NPI | 1104251669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT010413) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT16089) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2019-05-18 |