| NPI | 1154855658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2000) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214074) |
| 224Z00000X Occupational Therapy Assistant (Licence: NC 10537) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |