| NPI | 1770968497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS T-04315) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01307) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-06-16 |