| NPI | 1477949253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 207514) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: TX 207514) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-02-13 |