| NPI | 1003320441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116790) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1803) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |