| NPI | 1669069035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121133) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2020016902) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |