| NPI | 1619642360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA007956) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 449714) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-08-14 |