| NPI | 1801070040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 2929) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 001043) |
| 224Z00000X Occupational Therapy Assistant (Licence: MA 3066) | |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 209170) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2011-01-03 |