| NPI | 1952700544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: TX 84320) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 106463) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |