| NPI | 1205116589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 4860) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH 04337) |
| 224Z00000X Occupational Therapy Assistant (Licence: MI 52020007306) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |