| NPI | 1275861205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001089) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VT 073-0000188) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |