| NPI | 1013459809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118844) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 211673) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2022-12-14 |