NPI | 1730514696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2837) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115443) |
225X00000X Occupational Therapist (Licence: FL OT20346) | |
Enumeration Date | 2013-09-11 |
Last Update Date | 2020-10-13 |