| NPI | 1083853279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112883) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA Pending) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-08-31 |