| NPI | 1154905511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007965) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP010027) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |