| NPI | 1215344023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ID 2002) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 9318) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13777) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2019-03-18 |