| NPI | 1164935524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.Z20655) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA615) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-04-18 |