| NPI | 1063884377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000002558) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 001295) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |