NPI | 1417015231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072-0000070) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 0697) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-01-30 |