| NPI | 1043681778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VT 7300000003) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 730) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |