| NPI | 1114316890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12694) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 8940) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2021-10-31 |