NPI | 1972960946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09114700) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008327) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |