NPI | 1104959428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 2096) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 5915) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2022-04-29 |