| NPI | 1760053003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY 136566) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 136556) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |