| NPI | 1578680948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1587) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A00331) |
| 224Z00000X Occupational Therapy Assistant (Licence: PA OP002844L) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |