| NPI | 1063705739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109314) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX 109314) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2022-08-26 |