| NPI | 1558258210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C2579) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A03275) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |