| NPI | 1205543261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA008310) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 281063) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |