| NPI | 1467792010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY A5073) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA . 04834) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-05-29 |