| NPI | 1003244633 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3219) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 11359) | 
| Enumeration Date | 2013-10-16 | 
| Last Update Date | 2013-10-16 |