NPI | 1114177185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2002027792) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119008794) |
225X00000X Occupational Therapist (Licence: TX 116270) | |
Enumeration Date | 2008-09-25 |
Last Update Date | 2021-05-06 |