NPI | 1215344023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ID 2002) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 9318) |
224Z00000X Occupational Therapy Assistant (Licence: FL OTA13777) | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2019-03-18 |