| NPI | 1801361514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AL 319) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002129) |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 215381) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-06-11 |