| NPI | 1023392263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT CP024419T) |
| 225100000X Physical Therapist (Licence: TX 1143519) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1143519) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109104) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-08-10 |