| NPI | 1538557301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212592) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NM 3202) |
| 224Z00000X Occupational Therapy Assistant (Licence: SC 3340) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |