| NPI | 1174038814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CT 001343) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4255) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-05-23 |