| NPI | 1083120141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2016018780) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01339) |
| 224Z00000X Occupational Therapy Assistant (Licence: CO 0000931) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |