NPI | 1417612169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 9466) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0007132) |
Enumeration Date | 2021-11-07 |
Last Update Date | 2022-12-29 |