| NPI | 1780178145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP009723) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 212614) |
| 224Z00000X Occupational Therapy Assistant (Licence: OH OTA005619) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-03-26 |