| NPI | 1093912602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111018) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6525) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-02-23 |