| NPI | 1396175956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212121) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NV 1219) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |