NPI | 1912362492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 028119) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT18780) |
225X00000X Occupational Therapist (Licence: PA OC014224) | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2023-08-31 |