| NPI | 1003396938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 17364) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118981) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-12-13 |