| NPI | 1487262606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-006169) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ OTA-006169) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |