| NPI | 1790978476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 210607) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057-002373) |
| 224Z00000X Occupational Therapy Assistant (Licence: MO 2007012402) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2010-02-03 |