NPI | 1083120141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2016018780) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01339) |
224Z00000X Occupational Therapy Assistant (Licence: CO 0000931) | |
Enumeration Date | 2017-12-27 |
Last Update Date | 2017-12-27 |