NPI | 1700424280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: 430574) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 120446) |
Enumeration Date | 2019-12-16 |
Last Update Date | 2021-08-25 |