| NPI | 1770251092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122056) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 8464-26) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-01-02 |