NPI | 1760707384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology (Licence: PA OC003500L) |
Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: MA 2309) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |