| NPI | 1699107649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: DC OTA100000255) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02038) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2015-09-02 |