| NPI | 1144772658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117967) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 5514) |
| 225X00000X Occupational Therapist (Licence: OR 366772) | |
| 225X00000X Occupational Therapist (Licence: NC 11955) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2023-08-02 |