| NPI | 1225717515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR LlC-15810) |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |