NPI | 1578692943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 12479) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.007272) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2021-02-13 |