NPI | 1417318049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 117549) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
Enumeration Date | 2016-03-09 |
Last Update Date | 2017-10-02 |