| NPI | 1912158775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2006031983) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-00641) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |