| NPI | 1750768370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA0000591) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13610) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-12-03 |