| NPI | 1659602548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0900225) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA op005896) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2018-08-02 |