| NPI | 1164140711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 126540) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 18166) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2026-06-22 |