| NPI | 1942197181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OT-2025-0105) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 15061) |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-07-01 |