| NPI | 1104412444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119004) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11944) |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2024-10-22 |