| NPI | 1669768925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 212138) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA1369) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2015-11-04 |