| NPI | 1780243345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 209960) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 209960) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |