| NPI | 1952687006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA45864) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12041) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-08-06 |