| NPI | 1891175139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001170) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH 05148) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |