| NPI | 1134253115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119081) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 208248) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-09-04 |