| NPI | 1336545847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118753) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 9204888-4201) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2018-12-06 |