| NPI | 1194116236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000563) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-1035) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |