| NPI | 1356027684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2229) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 1053) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |