| NPI | 1013556364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60282941) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 207446) | 
| Enumeration Date | 2020-01-03 | 
| Last Update Date | 2020-01-03 |