| NPI | 1700274362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA005807) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002712A) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2018-07-26 |