| NPI | 1124203351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109492) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2162) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-11-08 |