NPI | 1245675008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: SC OT.4115 OT) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 8369) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2013-06-13 |