| NPI | 1518121045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112505) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN OT0000003153) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |