NPI | 1902215742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 25758) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA1390) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2024-12-20 |