| NPI | 1639204936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001826) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OA744) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-02-04 |