| NPI | 1518408368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2129) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0121001743) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |