| NPI | 1245681576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001285) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 2794) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-07-07 |