| NPI | 1760699573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR731) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107697) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-09-11 |