| NPI | 1558574236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 202198) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 202198) |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 202198) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-08-08 |