| NPI | 1639301864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA10322) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 3183) |
| 224Z00000X Occupational Therapy Assistant (Licence: NC 11268) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2018-06-19 |