| NPI | 1912625492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001587) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 266085) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |