| NPI | 1790991503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117637) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012539) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-12-11 |