| NPI | 1992819783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107750) |
| 225XH1300X Occupational Therapist, Human Factors (Licence: NY 006279-1) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-08-06 |