| NPI | 1962837716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 12521) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OTA12521) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2017-07-25 |