NPI | 1215282090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: AZ 6373) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 11535) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2016-04-13 |