NPI | 1245655372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019199-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115917) |
225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115917) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: NY 019199-1) | |
Enumeration Date | 2014-02-26 |
Last Update Date | 2015-08-20 |