| NPI | 1912379488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WV X1995) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008047) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |