NPI | 1083203095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PR 1309) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17966) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2024-08-28 |