NPI | 1477967552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006060) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A01637) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2019-10-31 |