| NPI | 1154684181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202002030) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211179) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |