| NPI | 1376930255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 209797) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 00675) |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-04-19 |