| NPI | 1689431934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001438) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AK 197924) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |