| NPI | 1104941814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP001988L) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C1586) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |