NPI | 1790240703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A02713) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 17781) |
Enumeration Date | 2019-02-04 |
Last Update Date | 2021-04-19 |