| NPI | 1669923769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000827) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA0000001277) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12225) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |