| NPI | 1790265411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110250) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 110250) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-04-14 |