| NPI | 1164978458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212578) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2011006863) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |