NPI | 1598358731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT-2024-0073) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 121503) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-06-16 |