| NPI | 1811143092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120834) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3020) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-10-11 |