| NPI | 1790049997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113526) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005681) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |