| NPI | 1750512869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112583) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z12500) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |