NPI | 1497308043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119008459) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2340) |
225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010001760) | |
Enumeration Date | 2019-07-23 |
Last Update Date | 2022-08-04 |