| NPI | 1619244803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118884) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK 2175) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2019-09-15 |