| NPI | 1467678995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113432) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8267) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-10-04 |