| NPI | 1518366251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212669) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP007842) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-02-25 |