| NPI | 1851973853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 216767) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 216767) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-05-05 |