NPI | 1548715121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08867) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: DC OTA100000289) |
224Z00000X Occupational Therapy Assistant (Licence: MD A02169) | |
Enumeration Date | 2016-08-24 |
Last Update Date | 2019-12-23 |