| NPI | 1780078519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH 05247) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02220) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |