| NPI | 1285099713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11071) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117274) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |