NPI | 1497419311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 22762) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 122147) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2022-08-02 |