| NPI | 1740688332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY A4901) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000905) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |