| NPI | 1811351109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A702) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210600) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |