| NPI | 1609195973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114739) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TN 0000004148) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-09-03 |