| NPI | 1053870196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17530) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 1801434) |
| 224Z00000X Occupational Therapy Assistant (Licence: MO 2015031004) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-03-23 |