| NPI | 1245875244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007499) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH OTA007499) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-01-03 |