| NPI | 1619652856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OTA22006) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001700) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-02-27 |