| NPI | 1003364845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114157) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OH OT008731) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-10-24 |