| NPI | 1598134710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZR0403X Occupational Therapy Assistant Driving and Community Mobility (Licence: GA OTA001496) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001496) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |