| NPI | 1811912934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12213) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 006332) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-06-16 |