| NPI | 1790334258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120312) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 4120) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2020-08-05 |