| NPI | 1043671878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL ota11023) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL ota11023) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-02-19 |