| NPI | 1154073849 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-046943)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 046943)  | 
| Enumeration Date | 2022-01-24 | 
| Last Update Date | 2023-03-09 |