| NPI | 1063672517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 324630) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00826) |
| 225X00000X Occupational Therapist (Licence: TX 116214) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-10-09 |