NPI | 1215094115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 004679) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 004679) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2019-09-27 |