| NPI | 1700292331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 106152) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 101654) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2021-03-23 |