| NPI | 1255730164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 16452) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114012) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |