NPI | 1417024886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: OR 983315) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: WA 00002355) |
225XP0200X Occupational Therapist Pediatrics (Licence: CO 0008106) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-05-17 |