| NPI | 1568660454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 3690) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA-3369) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |