| NPI | 1164089280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY OTA-1687) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 0001155) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-05-23 |