| NPI | 1295139756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212867) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 4015) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |