| NPI | 1679963649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2011026873) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 1800768) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |