NPI | 1861934408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 15036) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 15036) |
251E00000X Home Health (Licence: FL 15036) | |
Enumeration Date | 2016-11-14 |
Last Update Date | 2016-11-15 |