NPI | 1063805711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20467) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 12913) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2019-11-08 |