| NPI | 1902056377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY Ky-AO534) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA 00832) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |