| NPI | 1184157505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115439) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0004971) | 
| Enumeration Date | 2017-04-04 | 
| Last Update Date | 2017-04-04 |