| NPI | 1760731236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5166) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12277) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |