NPI | 1114269123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 119439) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056010075) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2018-09-19 |