NPI | 1558085365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 19007) |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: FL 19007) |
Enumeration Date | 2022-09-27 |
Last Update Date | 2022-09-27 |