NPI | 1649510199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 6115) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1150) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2018-08-24 |