| NPI | 1093371189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR3619) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 119900) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-06-23 |