| NPI | 1548679889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 214270) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2022-07-21 |