| NPI | 1114525508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 5175) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: SC 560347) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |