| NPI | 1205036613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 100715) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2462) |
| 225X00000X Occupational Therapist (Licence: LA Z10744) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |