| NPI | 1952195109 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 218710) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant | 
| Enumeration Date | 2025-04-04 | 
| Last Update Date | 2025-04-04 |