| NPI | 1720454622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 213300) |
| Additional Taxonomies | 247200000X (Licence: TX 99511) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2024-09-16 |