| NPI | 1942797576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202008369) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA16435) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |