| NPI | 1235642638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 15868) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131-002105) |
| 224Z00000X Occupational Therapy Assistant (Licence: CO 0000990) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-09-05 |