| NPI | 1689928434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116825) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 209645) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2015-06-19 |