| NPI | 1003458654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21160) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120110) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-02-27 |