| NPI | 1548505894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: AZ 5472) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5302) |
| 224Z00000X Occupational Therapy Assistant (Licence: SD 144A) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2014-05-15 |