NPI | 1174145502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1731) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 553) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-05-07 |