| NPI | 1558764969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1572) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA 01204) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |