| NPI | 1508649047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 19615) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202009847) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-21 |