| NPI | 1750778627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000928) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 6144) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2023-01-17 |