| NPI | 1174729263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 116166) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 4537) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-07-02 |