| NPI | 1902240583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 11568) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4938-27) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2018-05-09 |