| NPI | 1912396367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112890) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 3217) |
| 225X00000X Occupational Therapist (Licence: FL 4348) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-12-12 |