NPI | 1386020683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000452) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 9908) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2018-10-16 |