| NPI | 1164032686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN 0000003422) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2019016899) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |