NPI | 1649535097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 10159) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117710) |
225X00000X Occupational Therapist (Licence: FL 12242) | |
Enumeration Date | 2012-07-11 |
Last Update Date | 2025-06-28 |