| NPI | 1700461613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: 0004103) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 0001403) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |