| NPI | 1730867672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125778) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 217894) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-09-18 |