| NPI | 1689077901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA7658) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001361) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-11-05 |