| NPI | 1386092534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001452) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002085156) |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2020-01-03 |