| NPI | 1730588294 |
|---|---|
| Former Name | AMBER BASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007504) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116345) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2020-01-03 |