| NPI | 1215161138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 106324) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK 1260) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2010-12-27 |