| NPI | 1578930046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA-1410) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 077884) |
| 224Z00000X Occupational Therapy Assistant (Licence: MO 2010018661) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |