| NPI | 1174053730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32003060A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 167947) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |