NPI | 1487186607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT22651) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60744691) |
225XP0200X Occupational Therapist, Pediatrics (Licence: HI OT-1786) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2022-08-09 |