| NPI | 1790091163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA-0000400) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210900) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2021-11-30 |