NPI | 1457942708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NM OT4418) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM OT4418) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2021-01-29 |