| NPI | 1265017800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001801) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NM OTA4435) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-03-24 |