| NPI | 1972069490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002139) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C2255) |
| 224Z00000X Occupational Therapy Assistant (Licence: MD A02732) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-12-13 |