| NPI | 1629442603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 5789-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115370) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |