| NPI | 1396299673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP007763) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3811) |
| 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000765) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |