| NPI | 1063750958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115394) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 305168) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-08-27 |