| NPI | 1033489364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY A4928) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |