| NPI | 1346424595 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 213036) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL ota10430) | 
| Enumeration Date | 2007-12-24 | 
| Last Update Date | 2018-10-17 |