| NPI | 1215311501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1818) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.04811) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-17 |