| NPI | 1568722122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14421) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-12-02 |