NPI | 1619511748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1919) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA004178) |
Enumeration Date | 2019-11-01 |
Last Update Date | 2019-11-01 |