| NPI | 1356628903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114951) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 008942-1) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-02-07 |