| NPI | 1780992248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV C1922) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP005971) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2013-08-26 |