| NPI | 1205479821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112529) |
| Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision (Licence: TX 112529) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 112529) | |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2020-01-16 |