| NPI | 1861096919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 13495) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 13495) |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2020-11-29 |