| NPI | 1578394987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: 2620) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 2620) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |