| NPI | 1609381854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-5403) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12334) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-04-18 |