NPI | 1932647385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001978) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV c2128) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2023-04-21 |