| NPI | 1053854299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IA 00736) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.001964) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |