| NPI | 1265914766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 205024) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |