NPI | 1356074140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7562) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 106845) |
Enumeration Date | 2022-07-08 |
Last Update Date | 2023-08-15 |