| NPI | 1912256454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH .04166) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KY 4663) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |