| NPI | 1982112413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0310000459) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 01310000459) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |