| NPI | 1699385567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120995) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification (Licence: TX 120995) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-07-24 |