| NPI | 1366995920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 10427) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 13309) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |