NPI | 1518239870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 05903) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015803) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2021-04-30 |