NPI | 1336714047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09211800) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP010048) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-07-07 |