| NPI | 1629582713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15265) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 4570) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |