NPI | 1124691076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000209) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000209) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2024-12-01 |