NPI | 1992176697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010001077) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07628) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-12-08 |