| 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 |