| NPI | 1821012568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2004024032) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-00603) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-03-10 |