NPI | 1174006779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT3792) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2747) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2021-12-22 |