| NPI | 1073940268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115711) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006063) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-10-16 |