NPI | 1811642135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2021025697) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021025697) |
Enumeration Date | 2022-02-15 |
Last Update Date | 2022-02-17 |