| NPI | 1891308540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 123534) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT21054) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-07-24 |