NPI | 1508311705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31006496A) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH 014885) |
225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201005313) | |
Enumeration Date | 2016-08-18 |
Last Update Date | 2017-12-26 |