NPI | 1366081127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131972) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 131972) |
Enumeration Date | 2019-12-27 |
Last Update Date | 2021-04-13 |