| NPI | 1972766905 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 108624) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6440) | 
| Enumeration Date | 2008-07-09 | 
| Last Update Date | 2022-12-27 |