| NPI | 1780935742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 17692) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007345) |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2022-02-17 |