NPI | 1609919570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004184) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-00793) |
225XP0200X Occupational Therapist, Pediatrics (Licence: MO OC001580) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2015-01-13 |