| NPI | 1770193351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120971) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021131) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |