| NPI | 1720509961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 11124) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL ota13234) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-09-29 |