| NPI | 1841770005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 243344) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |