NPI | 1578044103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 122376) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214439) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2022-04-26 |