| NPI | 1972217024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002788) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 12549) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |