NPI | 1356853105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21853) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4252) |
Enumeration Date | 2017-11-02 |
Last Update Date | 2021-05-12 |