| NPI | 1760825178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001129) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001348) |
| 224Z00000X Occupational Therapy Assistant (Licence: WV C1778) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |