| NPI | 1851116123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001836) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 109129) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |