| NPI | 1255885653 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN 2691) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002095) | 
| Enumeration Date | 2016-08-15 | 
| Last Update Date | 2016-08-15 |