| NPI | 1902121486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113286) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT008480) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2024-02-01 |