| NPI | 1851629612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113546) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OH 007023) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2019-06-11 |