NPI | 1679697080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 6826) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12627) |
225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT12627) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6826) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-05-23 |