| NPI | 1215219381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118353) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 4951) |
| 225X00000X Occupational Therapist (Licence: IA 273AD3371) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2018-10-22 |