| NPI | 1508244625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001527) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA op007998) |
| 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001304) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |