| NPI | 1710395645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1242658) |
| 225X00000X Occupational Therapist (Licence: TX 116039) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2022-07-21 |