NPI | 1619002029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.009760) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00004022) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2012-09-06 |