| NPI | 1497441117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 478687) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA E3175145) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-05-12 |