NPI | 1558571745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: VA 0119009645) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 102726) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-03-14 |