| NPI | 1285947218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 102082) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 102082) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |