| NPI | 1558640342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121866) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210107) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2022-06-30 |