NPI | 1376944710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60484182) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008864) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2014-09-04 |