| NPI | 1063604445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CT 001017) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 1287) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |