| NPI | 1194028944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA10153) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC OTA10773) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2017-01-31 |