NPI | 1427614643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01584) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WY OTA-1418) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-06-11 |