| NPI | 1326622762 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01314) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant | 
| Enumeration Date | 2021-05-11 | 
| Last Update Date | 2021-05-12 |