| NPI | 1912678079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NV OTA2595) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 4265) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |