| NPI | 1902497456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 447004) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 5740-27) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-05-12 |