| NPI | 1053605188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL OTA11335) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-11-03 |