| NPI | 1720449325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ME OA3140) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01151) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-30 |