| NPI | 1083157325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 118008) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 15508) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |