| NPI | 1083031736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5732) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-00939) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |