| NPI | 1518683762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002743) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13772) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |