| NPI | 1750864997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3493) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001960) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |