| NPI | 1730540303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2015002804) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A985) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |