| NPI | 1124775317 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119416) | 
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: TX 119416) | 
| Enumeration Date | 2022-03-07 | 
| Last Update Date | 2022-09-30 |