| NPI | 1639932395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002804) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 15521) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |