NPI | 1700102068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY KYOTA0046) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: KY MT0025) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2015-09-30 |