NPI | 1356634844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 114295) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 285584) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2020-05-22 |