NPI | 1558019661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT18505) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 2498) |
225X00000X Occupational Therapist (Licence: FL OT18505) | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |