| NPI | 1346876257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 433645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 878453) |
| 225X00000X Occupational Therapist (Licence: TX 120588) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-09-29 |