| NPI | 1174028260 |
|---|---|
| Former Name | SAMANTHA ASHLEY ASENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6772) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31006303A) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-03-04 |