| NPI | 1255533816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112273) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5861) |
| 225X00000X Occupational Therapist (Licence: OH 006424) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |