| NPI | 1013567593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2228) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007345) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |