| NPI | 1578987509 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 13006)  | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 212209)  | 
| 224Z00000X Occupational Therapy Assistant (Licence: CA 2672)  | |
| 224Z00000X Occupational Therapy Assistant (Licence: IA 001017)  | |
| Enumeration Date | 2014-02-11 | 
| Last Update Date | 2014-02-11 |