| NPI | 1053856286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17912) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP002784L) |
| Enumeration Date | 2016-12-25 |
| Last Update Date | 2021-05-28 |