| NPI | 1003168766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV c1614) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 7219) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |