| NPI | 1457627796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM 2864) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY A3658) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |