| NPI | 1760873061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 14164) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP009285) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2023-05-30 |