NPI | 1831624634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1883) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC015034) |
Enumeration Date | 2017-04-29 |
Last Update Date | 2018-03-17 |