| NPI | 1124256607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111314) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT-200023) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-02-05 |