| NPI | 1386020683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000452) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 9908) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-10-16 |