| NPI | 1275666869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117103) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0119003287) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-12-13 |