| NPI | 1154892982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119236) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200764) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |