| NPI | 1386912582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114433) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 4960) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |