NPI | 1164802914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12049) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 9758) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-09-20 |