| NPI | 1427614643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01584) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WY OTA-1418) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-11 |