| NPI | 1366828956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117073) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11519) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2021-08-02 |