| NPI | 1013212992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 116368) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 103755) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2018-07-16 |