| NPI | 1295567428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: DC OTA200001266) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A03195) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |