| NPI | 1912237595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 1700604762) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2021-05-13 |