| NPI | 1477864759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117519) |
| Additional Taxonomies | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier (Licence: TX 88344) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-03-09 |