| NPI | 1528192614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 7924837-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110524) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-08-01 |