| NPI | 1659652865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113535) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02640) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |