| NPI | 1073978003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 14224) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NM OT-2024-0082) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-05-06 |