| NPI | 1457502965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA oc 60038172) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: UT 4738858-4202) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |