| NPI | 1346450186 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL ota 10236)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 1803)  | 
| 224Z00000X Occupational Therapy Assistant (Licence: TX 209710)  | |
| Enumeration Date | 2007-05-23 | 
| Last Update Date | 2007-07-08 |