| NPI | 1063926590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2020019667) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213885) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2021-10-15 |