| NPI | 1194378166 |
|---|---|
| Former Name | MARCI RAY WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1493) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2019005318) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |