| NPI | 1205520905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA005909) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 286056) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-10-19 |