| NPI | 1376085704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5476-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-4668) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2018-03-21 |