| NPI | 1003262544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118756) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WA OT60642487) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2021-10-15 |