| NPI | 1386995975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120812) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174400000X Specialist | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2020-06-26 |