| NPI | 1194378414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA16802) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 215239) |
| 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002454) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |