NPI | 1538734322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT61129374) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61129374) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2021-12-15 |