NPI | 1124451919 |
---|---|
Former Name | BETHANY SKLARSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 4317) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-08-15 |
Last Update Date | 2018-04-25 |