| NPI | 1336895127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 10697607) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA18727) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |