NPI | 1245715549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: UT 9357141-4202) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009894-1) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |