NPI | 1225687643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA 60961104) |
Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 117609) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |