| NPI | 1619018801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69865) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 002624) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-02-24 |