| NPI | 1629599170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202008257) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 004466-1) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |