| NPI | 1558633479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.003468) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4742-27) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-11-27 |