| NPI | 1740682137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007318) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116429) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-11-20 |