| NPI | 1740661404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117208) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013852) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-02-08 |