| NPI | 1235851627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO 478259) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: CO 478259) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-16 |