| NPI | 1215236708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211165) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.200225) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-10-30 |