| NPI | 1871787861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY 891) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: WY 120751200) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2018-04-11 |