| NPI | 1528869195 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 711027)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: 711027)  | 
| Enumeration Date | 2025-03-20 | 
| Last Update Date | 2025-03-20 |