| NPI | 1740473016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111315) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00004267) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |