| NPI | 1285918243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OTA4360) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA. 3104) |
| 224Z00000X Occupational Therapy Assistant (Licence: NC 12260) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2020-09-24 |