| NPI | 1194116673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12521) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-02-26 |