| NPI | 1013596790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 12652430-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 121714) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-04-01 |