| NPI | 1194190280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IA 076734) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 3058) |
| 224Z00000X Occupational Therapy Assistant (Licence: MN 202072) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |