| NPI | 1609292564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115058) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2003028279) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2018-09-21 |