| NPI | 1285948711 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110820)  | 
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: TX 110820)  | 
| 225XG0600X Occupational Therapist, Gerontology (Licence: TX 110820)  | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 110820)  | |
| Enumeration Date | 2010-07-26 | 
| Last Update Date | 2010-07-26 |