| NPI | 1548783574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: MO 53499) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2017024676) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |