| NPI | 1477861565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113347) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 2825) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2018-10-31 |