| NPI | 1528485430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001254) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13158) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |