NPI | 1659785590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 227860) |
Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: OR 227860) |
225XM0800X Occupational Therapist, Mental Health (Licence: OR 227860) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-03-24 |