NPI | 1235773078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14584) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 5716) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2022-06-13 |