| NPI | 1215292511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5154) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211046) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |