| NPI | 1346784931 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17985) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 302221) | 
| 225X00000X Occupational Therapist (Licence: TX 117831) | |
| Enumeration Date | 2016-12-15 | 
| Last Update Date | 2016-12-15 |