| NPI | 1548663032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS T-03996) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2014019197) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |