| NPI | 1912570730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-047185) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA5580) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-04-03 |