| NPI | 1518537059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000003159) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000249) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-10-02 |