| NPI | 1700586922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 123429) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-05-11 |