| NPI | 1700168796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11189) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116942) |
| 174400000X Specialist (Licence: LA 0TT.200450) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2022-05-19 |