| NPI | 1932645124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA001886) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OR 339437) |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 214384) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |