| NPI | 1154604676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 104197) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114310) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-08-08 |