NPI | 1164990305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 409675) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 19270) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2024-03-08 |