| NPI | 1205419579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 212724) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-05-19 |