NPI | 1174246797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072.0122946) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0122946) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |