| NPI | 1366976359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2016030530) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SD 369A) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |