| NPI | 1003177080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07528) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 15251) |
| 225X00000X Occupational Therapist (Licence: TX 114800) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-12-20 |