| NPI | 1265863997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY OTA-1040) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 1305) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |