| NPI | 1720524127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 171W00000X Contractor (Licence: AZ D07431809) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2022-05-16 |