NPI | 1740643220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201009303) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 346904) |
225X00000X Occupational Therapist (Licence: TX 117207) | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2021-06-02 |