| NPI | 1174057590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001535) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 2214) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |