| NPI | 1487754123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1033) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA-00775) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |