| NPI | 1174972871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.06453) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213926) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |