NPI | 1902240583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 11568) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4938-27) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2018-05-09 |