| NPI | 1063072593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119624) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0005744) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |