| NPI | 1396089066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001333) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 3010) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |