| NPI | 1467835850 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 13891) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 212837) | 
| Enumeration Date | 2015-07-02 | 
| Last Update Date | 2015-07-02 |