| NPI | 1811293517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 300694) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113942) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-02-17 |