NPI | 1427470293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT-1259) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR-1191) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2019-04-03 |