| NPI | 1619268604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA 04179) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001749A) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |