| NPI | 1215203401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212404) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09078300) |
| 224Z00000X Occupational Therapy Assistant (Licence: NY 007666-1) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2015-04-23 |