| NPI | 1740611581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115677) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ZZ AL2556) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |