| NPI | 1457876914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120165) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 18511) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2020-02-05 |