| NPI | 1720486947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116452) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 3456) |
| 225X00000X Occupational Therapist (Licence: GA OT005675) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |