NPI | 1427765593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 15532) |
Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: NC 15532) |
Enumeration Date | 2022-10-28 |
Last Update Date | 2022-10-28 |