| NPI | 1265841357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212648) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA 200438) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |