| NPI | 1164693792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT008145) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.00602) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2018-03-17 |