| NPI | 1619306461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH ota04225) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OH ota04225) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |