| NPI | 1083039952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000001934) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001271) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |