| NPI | 1427202365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112826) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX 112826) |
| 225X00000X Occupational Therapist (Licence: OR 241299) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2023-03-15 |