| NPI | 1417481391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 6164) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116442) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |