| NPI | 1760994958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122159) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214902) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2022-09-09 |