| NPI | 1043595994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 210773) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1073) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |