NPI | 1154635464 |
---|---|
Former Name | AI TAKADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60206072) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-07-28 |
Last Update Date | 2020-08-21 |