| NPI | 1841566197 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001548) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210807) | 
| Enumeration Date | 2012-03-30 | 
| Last Update Date | 2016-10-11 |