| NPI | 1770042285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 4062) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202002694) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |