NPI | 1003502923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 17212) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 17212) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |