| NPI | 1053690495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA005546) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2021-07-25 |