NPI | 1235558792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 319216) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 319216) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2014-04-14 |