| NPI | 1992035539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 10165) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 603) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |