| NPI | 1205350196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002266) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA02038) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-09-05 |