| NPI | 1104118462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 004239-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA op006639) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |