NPI | 1417202102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 4640) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2020-10-06 |