| NPI | 1073978094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14176) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NV 15-5121) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |