| NPI | 1750623922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 209969) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02210) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2015-02-06 |