| NPI | 1326540550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007789) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15146) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |