| NPI | 1760692560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 10012) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OA1123) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |