| NPI | 1912036278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 107317) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2123) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-01-28 |