| NPI | 1063127454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A03105) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP010028) |
| 224Z00000X Occupational Therapy Assistant (Licence: WV C2371) | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |