| NPI | 1770935504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A02348) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001123) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |