| NPI | 1003644857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OT-2024-0023) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 218248) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |