| NPI | 1235471145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117960) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2077540) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2016-11-08 |