| NPI | 1184014383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001434) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.03511) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2021-09-02 |