| NPI | 1982022554 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115950) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 322696) | 
| Enumeration Date | 2014-04-01 | 
| Last Update Date | 2023-10-19 |