| NPI | 1497295828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A02107) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WV C2100) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |