| NPI | 1790145670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009540) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117457) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2022-09-02 |