| NPI | 1497290324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2114) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 11742) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2019-01-08 |