| NPI | 1164674321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT2015-026) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2015-08-07 |