NPI | 1750626958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 4774-027) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MN 201718) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2012-11-29 |