| NPI | 1982953386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA16442) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211253) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2021-01-21 |