| NPI | 1104696103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC OTA.5612OTA) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OTA.5612OTA) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |