| NPI | 1790191146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY KY-A5940) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.003846) |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 212660) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |