| NPI | 1730473877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2749) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113108) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |