| NPI | 1073627873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 107975) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR1172) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-09 |