| NPI | 1710395900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115788) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005648A) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-04-12 |