| NPI | 1124573613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14646) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA3558) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |