NPI | 1922536358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL 100062450) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14937) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2019-01-30 |