| NPI | 1487309654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 216376) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-12-19 |