| NPI | 1497964860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA1367) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA10201) |
| 224Z00000X Occupational Therapy Assistant (Licence: MN 201378) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |