NPI | 1013563683 |
---|---|
Former Name | SARA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 206012) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID 1925) |
Enumeration Date | 2019-08-10 |
Last Update Date | 2024-08-19 |