| NPI | 1124296686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17788) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS 2159) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2021-04-13 |