| NPI | 1295855609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06711) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 105894) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-10-26 |