| NPI | 1861036121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 108129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR OTR3137) |
| 225X00000X Occupational Therapist (Licence: LA 320788) | |
| 225X00000X Occupational Therapist (Licence: MD 1020920) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |