NPI | 1821474933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 116255) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00660900) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2018-06-11 |