| NPI | 1760679989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: TX 113405) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT6424) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2010-06-29 |