| NPI | 1073269064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-046798) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 13048) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |