| NPI | 1154699494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116340) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 012120) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2016-11-29 |