| NPI | 1154996502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-2376) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115914) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |