| NPI | 1245715549 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: UT 9357141-4202) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009894-1) | 
| Enumeration Date | 2018-10-02 | 
| Last Update Date | 2018-10-02 |