NPI | 1801393061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC013901) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022126) |
225XP0200X Occupational Therapist, Pediatrics (Licence: NY 022126) | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2019-08-19 |