NPI | 1285053843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-8614) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 2042) |
224Z00000X Occupational Therapy Assistant (Licence: WA OC60450841) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2021-12-17 |