NPI | 1336851823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 027593) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 7762) |
Enumeration Date | 2022-12-16 |
Last Update Date | 2023-11-13 |