| NPI | 1124286257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202226888) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 1753-027) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |