| NPI | 1003692724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1873) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 278687) |
| 224Z00000X Occupational Therapy Assistant (Licence: OH OTA004974) | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |