| NPI | 1568061083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI 1170) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4093) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-02-18 |