| NPI | 1184123564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 391370) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-08-19 |