| NPI | 1053778233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115859) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9554) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |