| NPI | 1497154777 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV c1964)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.05856)  | 
| Enumeration Date | 2014-08-22 | 
| Last Update Date | 2014-08-22 |