| NPI | 1376838896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 108345) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX 3394) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2017-01-23 |