| NPI | 1700200581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172A00000X Driver |
| 224Z00000X Occupational Therapy Assistant (Licence: OH OTA01642) | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2023-02-27 |