NPI | 1710325279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV 17-0887) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA CBOT12062) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2021-07-20 |