| NPI | 1811477805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 4131) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112168) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2021-01-08 |