NPI | 1619235116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: TX 112603) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 12428) |
225XP0019X Occupational Therapist Physical Rehabilitation (Licence: WA OT60278533) | |
Enumeration Date | 2012-05-03 |
Last Update Date | 2012-05-03 |