NPI | 1316495104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0005640) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 105253) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2018-10-03 |