| NPI | 1831748235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 356689) |
| 224Z00000X Occupational Therapy Assistant (Licence: OH OTA006518) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-06-11 |