| NPI | 1356893705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002107) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 4333) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |