| NPI | 1982262820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001192) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2018017084) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |