| NPI | 1649714783 |
|---|---|
| Former Name | NATHALIE JAE COLMENARES LARRACAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 009334) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-06-24 |