| NPI | 1154861508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001637) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 2253) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-05 |