| NPI | 1194273375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 215742) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MS 3270) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-12-04 |