| NPI | 1386758076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 103158) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 775) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |