| NPI | 1164812616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212601) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NV 1229) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |