| NPI | 1104480250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119994) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 18367) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-08-23 |