| NPI | 1265032452 |
|---|---|
| Former Name | MERCEDES BRAVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 3772) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI 00711) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |