| NPI | 1922556711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS T-04654) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2016024841) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |