| NPI | 1093363343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 1801317) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01317) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |