NPI | 1124529912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MS OT3594) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118922) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2019-06-27 |