NPI | 1669899639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2003020302) |
Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: MO 2003020302) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2023-10-20 |