| NPI | 1497048094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA8911) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL OTA8911) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2017-11-20 |