| NPI | 1922489301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17074) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC OTA.3469 OTA) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-08-23 |