| NPI | 1780158717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15891) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: 224Z00000X) |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2019-01-12 |