| NPI | 1497849996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109261) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z10304) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |