NPI | 1154662914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: GA OT005640) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005640) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2016-06-14 |