| NPI | 1225869266 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 217133)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA 334804)  | 
| Enumeration Date | 2024-08-12 | 
| Last Update Date | 2024-08-12 |