| NPI | 1932675733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202008288) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 4909) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-12-15 |