| NPI | 1720103260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2014024651)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057002388)  | 
| Enumeration Date | 2007-03-21 | 
| Last Update Date | 2014-11-24 |