| NPI | 1760611479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122344) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004662) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-04-11 |