| NPI | 1528544764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OK OTA-501) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA-1026) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |