| NPI | 1720228489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000156) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 6032) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |