| NPI | 1245455211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT3727) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 284283-4201) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-08-09 |