| NPI | 1982782462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA.05079) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 522424) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-04-15 |