NPI | 1235676073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: GA OT006377) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT010674) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2019-09-04 |