| NPI | 1023245297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118877) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 208964) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-10-16 |