| NPI | 1205293677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14887) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213722) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |