| NPI | 1861682809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120550) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014302-1) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2023-09-13 |