| NPI | 1700334844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118858) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 11887) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-03-28 |