NPI | 1174062327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT3661) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NM 3661) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2021-08-11 |