| NPI | 1013400274 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001539) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 119196) | 
| Enumeration Date | 2018-06-12 | 
| Last Update Date | 2019-04-06 |