| NPI | 1619210440 |
|---|---|
| Former Name | JESSICA LYNNE SARDINAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006996) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT15573) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-05-14 |