| NPI | 1407423031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125173) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 215090) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-12-03 |