| NPI | 1255102471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY 1145) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WY 1145) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-19 |