| NPI | 1417605718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122504) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 122504) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |