| NPI | 1205240165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01651) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000311) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-05-04 |