NPI | 1669771119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME 2879) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 10375) |
225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 4763) | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2021-11-23 |