| NPI | 1417644451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124309) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15279) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-04-01 |