| NPI | 1104237023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AL 3630) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS Ta2835) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |