| NPI | 1922536358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL 100062450) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14937) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2019-01-30 |