| NPI | 1831438423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA-2648) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY A5439) |
| Enumeration Date | 2013-02-03 |
| Last Update Date | 2013-02-03 |