| NPI | 1629428073 |
|---|---|
| Former Name | KATY CORREA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2705) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: LA 301663) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-12-30 |