NPI | 1194109546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001082) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13423) |
225X00000X Occupational Therapist (Licence: MD 08533) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2019-10-04 |