| NPI | 1508459322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO 0001390) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA.0014968) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2024-12-03 |