| NPI | 1295941102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111554) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2004023171) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-10-08 |