| NPI | 1780952085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211448) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA 200266) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-02 |