NPI | 1619268679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OTA681) |
Additional Taxonomies | 171W00000X Contractor (Licence: AR O-T1103) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2020-11-24 |