| NPI | 1679730840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 9315) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 2722) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-02-10 |