| NPI | 1407303597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC OTA3498) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001962) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |