NPI | 1821381013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: WV 1525) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MD 03619) |
225XG0600X Occupational Therapist, Gerontology (Licence: PA OC011786) | |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |