| NPI | 1619115839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH ota. 02842) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008329) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2022-07-21 |