| NPI | 1194102210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116932) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004832) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |