NPI | 1679829675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: UT 9621933-4201) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 12544) |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2012-07-27 |
Last Update Date | 2022-12-09 |