NPI | 1548627623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY BOTOCT00215829) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31007222A) | |
Enumeration Date | 2016-01-20 |
Last Update Date | 2024-11-20 |