| NPI | 1770991846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115822) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4989) |
| 225X00000X Occupational Therapist (Licence: NY 018113) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2022-09-16 |