NPI | 1750601993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 14634) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 13878) |
225X00000X Occupational Therapist (Licence: TX 113232) | |
Enumeration Date | 2010-06-10 |
Last Update Date | 2018-08-20 |