NPI | 1528485430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001254) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13158) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2014-03-28 |