| NPI | 1376001453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 4457) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 417383) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-21 |