| NPI | 1568749190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 4958) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-08-25 |