| NPI | 1497123640 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117155) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 305299) | 
| Enumeration Date | 2015-09-04 | 
| Last Update Date | 2015-09-21 |