| NPI | 1144611443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007861) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH 05844) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |