| NPI | 1194112730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 871867) |
| 163W00000X Registered Nurse (Licence: FL RN9398836) | |
| 225X00000X Occupational Therapist (Licence: FL OT5941) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |