NPI | 1447549076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 114027) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201009933) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2018-11-13 |