| NPI | 1871069534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 4747) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 06-30-2020) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |