| NPI | 1033877923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2608) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA008150) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-10-28 |